Troubled nursing homes in four states are getting some assistance from a pilot program funded by a grant from the Commonwealth Fund to the American Association of Homes and Services for the Aging.

Operated under the sponsorship of Advancing Excellence in America’s Nursing Homes (AEANH), the program aims to increase consistent assignments as a way to reduce employee turnover and improve resident satisfaction. Nursing home reformers involved with the program would like to decrease the number of caregivers per resident from 22 down to eight, the Post-Tribune, a suburban branch of the Chicago Sun-Times, reported. To qualify for the program, the nursing home must be in an urban area with a high minority population on Medicaid and with serious health problems. Illinois, Ohio, Indiana and Georgia are involved in the program.

The AEANH program is offered to nursing homes that have dealt with quality and citations from regulatory agencies, and it is voluntary, the Post-Tribune reported.